GLEN T PROSPERE

BOSTON, MA
NPI1912135666
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MA  6911)
Enumeration Date2009-07-01
Last Update Date2009-07-06
Business Address
-- GLEN T PROSPERE
1601 WASHINGTON STREET
BOSTON, MA 02118-1951
Phone number: 617-425-2000
Mailing Address
-- GLEN T PROSPERE
43 PIERCE STREET
HYDE PARK, MA 02136
Phone number: 617-364-9464
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